Spinal Cord Stimulation Versus Repeated Lumbosacral Spine Surgery for Chronic Pain: A Randomized, Controlled Trial

2006 ◽  
Vol 2006 ◽  
pp. 236
Author(s):  
S.E. Abram
Keyword(s):  
Spinal Cord ◽  
Chronic Pain ◽  
Randomized Controlled Trial ◽  
Spine Surgery ◽  
Spinal Cord Stimulation ◽  
Controlled Trial ◽  
Lumbosacral Spine ◽  
Randomized Controlled

Spinal Cord Stimulation versus Repeated Lumbosacral Spine Surgery for Chronic Pain: A Randomized, Controlled Trial

Neurosurgery ◽  
2005 ◽  
Vol 56 (1) ◽  
pp. 98-107 ◽  
Author(s):  
Richard B. North ◽  
David H. Kidd ◽  
Farrokh Farrokhi ◽  
Steven A. Piantadosi
Keyword(s):  
Spinal Cord ◽  
Randomized Controlled Trial ◽  
Pain Relief ◽  
Spine Surgery ◽  
Daily Living ◽  
Controlled Trial ◽  
Radicular Pain ◽  
Work Status ◽  
Lumbosacral Spine ◽  
Randomized Controlled

Abstract OBJECTIVE: Persistent or recurrent radicular pain after lumbosacral spine surgery is often associated with nerve root compression and is treated by repeated operation or, as a last resort, by spinal cord stimulation (SCS). We conducted a prospective, randomized, controlled trial to test our hypothesis that SCS is more likely than reoperation to result in a successful outcome by standard measures of pain relief and treatment outcome, including subsequent use of health care resources. METHODS: For an average of 3 years postoperatively, disinterested third-party interviewers followed 50 patients selected for reoperation by standard criteria and randomized to SCS or reoperation. If the results of the randomized treatment were unsatisfactory, patients could cross over to the alternative. Success was based on self-reported pain relief and patient satisfaction. Crossover to the alternative procedure was an outcome measure. Use of analgesics, activities of daily living, and work status were self-reported. RESULTS: Among 45 patients (90%) available for follow-up, SCS was more successful than reoperation (9 of 19 patients versus 3 of 26 patients, P < 0.01). Patients initially randomized to SCS were significantly less likely to cross over than were those randomized to reoperation (5 of 24 patients versus 14 of 26 patients, P = 0.02). Patients randomized to reoperation required increased opiate analgesics significantly more often than those randomized to SCS (P < 0.025). Other measures of activities of daily living and work status did not differ significantly. CONCLUSION: SCS is more effective than reoperation as a treatment for persistent radicular pain after lumbosacral spine surgery, and in the great majority of patients, it obviates the need for reoperation.

16-LB: Long-Term 10 kHz Spinal Cord Stimulation in Painful Diabetic Neuropathy: A Randomized Controlled Trial

Diabetes ◽  
2021 ◽  
Vol 70 (Supplement 1) ◽  
pp. 16-LB
Author(s):  
ERIKA PETERSEN ◽  
JAMES SCOWCROFT ◽  
ELIZABETH S. BROOKS ◽  
JUDITH L. WHITE ◽  
KASRA AMIRDELFAN ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Randomized Controlled Trial ◽  
Diabetic Neuropathy ◽  
Spinal Cord Stimulation ◽  
Controlled Trial ◽  
Painful Diabetic Neuropathy ◽  
Randomized Controlled
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